On December 26th, the New York State Workers’ Compensation Board adopted regulations which substantially increase payment for PT and OT therapy services provided to injured workers effective April 1, 2019.
The conversion factor for PT and OT services increased from 21 to 30 percent across the 4 regions of the state. The average conversion factor increase across all 4 regions was 25.4%
Initial evaluations are capped at 18 RVUs, revaluations are capped at 15 RVUs and follow up visits are capped at 12 RVUs, all of which allow for a greater intensity/duration of medically necessary treatment to be provided per session.
The changes in the fee schedule will take effect April 1, 2019.
There is NO hard cap of 12 visits/180 days.
I will post additional information as I find it out.